AMICUS RENEW & RECOVERY LLC – NPI #1356292262
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

AMICUS RENEW & RECOVERY LLC is a substance abuse rehabilitation facility located in INDIANAPOLIS, IN. NPPES has assigned the NPI number 1356292262 to AMICUS RENEW & RECOVERY LLC on February 06, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMICUS RENEW & RECOVERY LLC below.

NPI Profile for
AMICUS RENEW & RECOVERY LLC

NPI Number
1356292262
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AMICUS RENEW & RECOVERY LLC
Primary location
4701 N KEYSTONE AVE STE 501
INDIANAPOLIS, IN 46205-1581
Phone: (765) 425-7794 Fax: (317) 863-7462
Mailing address
9065 CRYSTAL LAKE DR
INDIANAPOLIS, IN 46240-6414
Phone: (765) 425-7794 Fax: (317) 863-7462
Organization Subpart
No
Authorized Official
GEORGE DAVIDSON
CEO
Phone: (765) 425-7794
Updated
Certification Date
Feb 06, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.